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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
June, 2009, Vol. 09, Issue 06
Research in Water and Fascia
Micro-tornadoes, hydrogenated diamonds & nanocrystals
By Leon Chaitow, ND, DO
Several years ago, I wrote a series of articles for Massage Today on the topic of the then-recent and exciting research into fascia.1 As the Second International Fascia Research Congress approaches (Oct. 27 - Oct. 30, 2009) at the Vrije Universiteit or "Free University" of Amsterdam (http://www.fasciacongress.org/2009), it seems appropriate to return to some of the fascinating advances touched on in my earlier articles along with a few new exciting pieces of research - all of which reflect directly on the work of manual therapists.
Some of the key fascia-related topics covered in those earlier articles were:
In a 2005 study, German researchers, Schleip, et al,6 noted their discoveries on fascia: "The ability of fascia to contract is further demonstrated by the widespread existence of pathological fascial contractures. Probably, the most well-known example is Dupuytren disease (palmar fibromatosis), which is known to be mediated by the proliferation and contractile activity of myofibroblasts. Lesser known is the existence of similar contractures in other fascial tissues which are also driven by contractile myofibroblasts, e.g. plantar fibromatosis, Peyronies disease (induratio penis plastica), club foot, or - much more commonly - in the frozen shoulder with its documented connective tissue contractures. Given the widespread existence of such strong pathological chronic contractures, it seems likely that minor degrees of fascial contractures might exist among normal, healthy people and have some influence on biomechanical behavior."
Anyone using myofascial release approaches, or acupuncture, should be able to appreciate the potential therapeutic implications of these discoveries.
Amazing Crystalline Properties
And recently, even more evidence has emerged of the mysteries of fascia. For example, the behavior of water that interacts with protein in the human body is becoming clearer. In an article "Water is 'Designer Fluid' that Helps Proteins Change Shape, Scientists Say," Dr. Martin Gruebele, University of Illinois, explains: "Water in our bodies has different physical properties from ordinary bulk water, because of the presence of proteins and other biomolecules. Proteins change the properties of water to perform particular tasks in different parts of our cells. Water can be viewed as a 'designer fluid' in living cells." To read the full article go to: http://news.biocompare.com/newsstory.asp?id=239323.
Other research shows that interfascial water plays a key part in what is termed "protein folding," the process necessary for cells to form their characteristic shapes - and that nanocrystals are a part of this process - and that these are influenced by light. According to Sommer, et al7: "In the course of a systematic exploration of interfacial water layers on solids we discovered microtornadoes, found a complementary explanation to the surface conductivity on hydrogenated diamond, and arrived at a practical method to repair elastin degeneration, using light."
The leading researcher in this field, Dr. Gerald Pollack, University of Washington professor of bioengineering, has shown that water can at times demonstrate a tendency to behave in a crystalline manner. He has discussed interfacial water in living cells known as vicinal water. Interfacial water exhibits structural organizations that differ from what is termed "bulk" water. This "vicinal" water seems to be influenced by structural properties that make up the cell. An example of this, and in relation to the water in a temperomandibular joint, Pollack states8: "The combined data from three different methods lead to the conclusion that all or almost all of the water in the intact disc is bound water and does not have properties consistent with free or bulk water."
For fascinating insight into water research, download the free video of Dr. Pollack's recent address at the University of Washington: http://www.uwtv.org/programs/displayevent.aspx?rID=22222.
Fascia, Water and Manual Therapy
Several years ago, Klingler, et al9 showed that the water content of fascia partially determines its stiffness, and that stretching, or compression, of fascia (as occurs during almost all manual therapies), causes water to be extruded (like a sponge) - making the tissues more pliable and supple. After a while, the water is taken up again and stiffness returns, but in the meantime structures have been mobilised and stretched more effectively and comfortably, than if they were still densely packed with water.
Klingler, et al measured wet and dry fresh human fascia, and found that during an isometric stretch, water is extruded, refilling during a subsequent rest period. As water extrudes during stretching, temporary relaxation occurs in the longitudinal arrangement of the collagen fibers. If the strain is moderate, and there are no micro-injuries, water soaks back into the tissue until it swells, becoming stiffer than before.
All this suggests that much manual therapy and the tissue responses experienced, may relate to sponge-like squeezing and refilling effects in the semi-liquid ground substance, with its water-binding glycosaminoglycans and proteoglycans. Muscle energy technique, like contractions and stretches, almost certainly have similar effects on the water content of connective tissue, as do myofascial release methods, and the multiple force-loading elements of massage.
The speed with which research is uncovering the secrets of fascia is mind-boggling, and I hope to see you in Amsterdam to discover even more!
Click here for more information about Leon Chaitow, ND, DO.
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